Wellness Assessment

Enter your physical parameters to start your free personalized assessment

Gender

Age (Years)

Height (Feet & Inches)

Current Weight (lbs)

Do you exercise regularly?

What is your main goal?

Nutrition Habits

Tell us about your current daily habits

What is your typical breakfast?

None (only coffee, tea, or skip breakfast entirely)

Mostly sweet or carb-heavy (pastries, sugary cereals, toast)

Balanced (protein, fiber, hydration, balanced shake)

How much water do you drink daily?

Less than 4 glasses (under 32 fl oz / 1 Liter)

Between 4 and 8 glasses (32 to 64 fl oz / 1-2 Liters)

More than 8 glasses (over 64 fl oz / 2+ Liters)

Do you experience energy crashes during the day (e.g. mid-morning or mid-afternoon)?

Yes, frequently (feeling sluggish or foggy)

No, my energy stays steady throughout the day

Do you frequently suffer from muscle cramps, fatigue, or leg heaviness?

Yes, especially during exercise, at night, or in warm weather

No, rarely or never

Do you regularly take vitamin or mineral supplements?

No, I do not take supplements regularly

Only sporadically or seasonally

Yes, I take supplements consistently

Do you feel you consume enough high-quality protein daily (eggs, fish, poultry, legumes, plant protein)?

Yes, I track or ensure adequate protein intake

No, I struggle to hit my recommended daily protein target

Wellness & Digestion

A deeper look into your body's daily balance

Do you regularly experience abdominal bloating, heaviness, or sluggish digestion?

Yes, often after meals or towards evening

No, rarely or never

Do you experience sudden sugar cravings or stress snacking?

Yes, especially mid-afternoon or late evening

No, I control cravings and appetite easily

How would you rate your sleep quality?

Great: I wake up rested and ready to go

Restless: I have trouble falling asleep or wake up frequently

Fatigued: I sleep enough hours but still wake up tired

How often do you exercise or engage in physical activity?

Sedentary (desk job, minimal physical activity)

Moderate (1 to 2 times a week, brisk walks, light fitness)

Active (3 or more times a week, gym, running, sports)

Your Commitment

Select the approach that best fits your lifestyle

Which program intensity would you like to explore?

Gold Program (Complete Nutrition System)

Complete nutrition plan for faster, optimal results. Includes Formula 1, Protein Drink Mix, Herbal Tea, and Aloe Concentrate with free 1-on-1 coaching.

Bronze Program (Essential Starter Kit)

The essential foundation kit to kickstart your healthy breakfast routine with Formula 1 and Herbal Tea.

Receive Your Assessment

Where should we send your full personalized nutrition report?

Full Name

Email Address

Phone / WhatsApp Number Used only by your dedicated Independent Herbalife Distributor to send your assessment and provide free coaching.

I agree to receive my personalized wellness assessment and pre-sale nutrition orientation via email from Independent Herbalife Distributor Amedeo Zullo.

Personalized Plan

Wellness Assessment Report

Formulated for My Level Up Nutrition Community

Thank you for completing your assessment! Below is your personalized physical and nutritional evaluation, calculated from your biometric values and daily lifestyle habits.

Client Profile

Name: --

Age: --

Height & Weight: --

Primary Goal: --

Lifestyle Habits

Breakfast: --

Daily Water: --

Muscle Cramps: --

Bloating / Digestion: --

Calculated Biometrics

Body Mass Index (BMI)

--

Daily Hydration Goal

--

fl oz per day

Basal Metabolic Rate

--

Calories at rest

Coach Analysis & Recommendations

Balanced Daily Meal Plan Example

Recommended Programs For You

Select the program that fits your goals. Includes complimentary personal coaching and a meal guide.

ℹ️ What happens next? Independent Herbalife Distributor Amedeo Zullo will review your responses and email your complete report. You can activate complimentary coaching at any time.